Nursing Career Pathway

Preparing secondary students for

careers in Nursing & Direct Patient Care

through Regional Career Pathways

November 2018 v.1

Education Building Blocks

The purpose of Educational Building Blocks is to give secondary educators guidance on the skills and competencies that will prepare their students for careers in direct patient care.

Education Building Blocks are not fully developed curriculum and lessons, nor are they a replacement for state education standards in Health Science and other content areas. Rather, they should be used as guidelines that reference the skills and competencies that employers are looking for in a particular industry. These guidelines should inform you as you develop curriculum aligned to state standards.

Education Building Blocks are comprised of four groups of skills:

*Employability Skills (Appendix A)

*Digital Literacy Skills (Appendix B)

*Academic Skills

*Technical Skills

The combination of these sets of skills comprise the necessary learning to prepare students to be future ready to transition to adulthood prepared for college AND career in direct patient care.

PURPOSE

PROCESS

Groups of employers and employer professional associations (Appendix C) have gathered to develop this document in order to provide secondary educators with a current picture of skill sets desired in a particular high skill, high demand industry sector. Their input has been collated into this guidance document for use in regional career pathway development in secondary settings.

Once defined, the State-Endorsed Career Pathway outline was developed showing the career ladder progression, as well as the desired industry-recognized education and credentials needed to advance to different levels in the industry sector.

The State-Endorsed Career Pathway outline is adopted into a Regional Map by Regional Councils of higher education and public agency partners to leverage their local resources for implementation. Regional Councils must address barriers to access, as well as connect secondary students directly to available work-based learning experiences, dual credit (high school and college) course opportunities, and local district course offerings. This “ready-made Academic and Career Plan (ACP)” highlights to students the series of activities for those interested in the career sector. Regional Maps, adopted by the local school, can be used with students and families in ACP planning and advising.

Education Building Blocks

All Regional Career Pathways require districts to identify a sequence of courses that students will take in order to complete the secondary pathway. The specific courses may vary from district to district. However, every district’s sequence of courses should reflect the Education Building Blocks for the pathway. This ensures a consistent approach to the skills and competencies that are being developed while providing local flexibility in delivery.

Employability Skills

Often referred to as “Soft” skills, the source for the Employability Skills Set in the Education Building Blocks is the Wisconsin Department of Public Instruction’s (DPI) Employability Skill Standards (Appendix A). Furthermore, because employers are also seeking job candidates that are able to think and act innovatively, it is also recommended to reference the Innovation Learning Outcomes (Appendix A) as part of this learning. Although this skill set was originally created for future entrepreneurs, it provides suggestions to prepare students to become innovation leaders with an entrepreneurial mindset.

Digital Literacy Skills

Today’s job market requires some level of digital literacy. Therefore, it is essential to include digital literacy skills in every Education Building Block model. For our purpose, Digital Literacy Skills are defined by DPI’s Information and Technology Standards for Digital Literacy (Appendix B).

Academic Skills

Academic Skills are clearly defined by states in standards which act as benchmarks of quality and excellence in education. The Wisconsin Academic Standards (Appendix C) specify what students should know and be able to do in the classroom. Setting high standards enables students, parents, educators, and citizens to know what students should have learned at a given point in time. State standards serve as a model. Locally elected school boards adopt academic standards in each subject to best serve their local community. Educational Building Blocks point to specific groups of academic skills that employer partners have indicated are critical to their industry.

SKILL SETS

Technical Skills

Often referred to as “Hard” Skills, employers recognize that developing basic occupational skills in secondary settings allows students to apply academic learning in unique and contextualized ways. Employers identify spe-cific technical skills in the Educational Building Blocks that should be developed for anyone interested in pursuing a career in the this area.

“The solution is to

pursue initiatives that

instill both hard skills

and soft skills into the

available workforce,

not settle for one at the

expense of the other.” Matt Kirchner, Lab Midwest

Education Building Blocks

Digital Literacy Skills Appendix B

Standards for Information and Technology Literacy

BLOCK 1

BLOCK 3: ACADEMIC SKILLS Medical Math Demonstrate competency in basic math skills and mathematical conversions as they relate to

Healthcare.

Metric system (such as: centi, milli, kilo)

Mathematical (average, ratios, fractions, percentages, addition, subtraction, multiplication, division)

Conversions (height, weight/mass, length, volume, temperature, household measurements)

Demonstrate the ability to analyze diagrams, charts, graphs, and tables to interpret healthcare results.

Demonstrate use of the 24-hour clock/military time.

Demonstrate critical thinking skills and problem solving in applied mathematics using healthcare related scenarios.

Science Human Anatomy and Physiology Identify basic levels of organization of the human body.

Identify body planes, directional terms, cavities, and quadrants.

Analyze basic structures and functions of human body systems (skeletal, muscular, integumentary, cardiovascular, lymphatic, respiratory, nervous, special senses, endocrine, digestive, urinary, and reproductive).

Diseases and Disorders

Describe common diseases and disorders of each body system (such as: cancer, diabetes, dementia, stroke, heart disease, tuberculosis, hepatitis, COPD, kidney disease, arthritis, ulcers).

Discuss research related to emerging diseases and disorders (such as: autism, VRSA, PTSD, Listeria, seasonal flu).

Describe biomedical therapies as they relate to the prevention, pathology, and treatment of disease.

Applied Chemistry Understand that chemical treatments trigger physiologic reactions.

Understand the catalyzation process of chemicals and how it applies to medication administration.

Demonstrate critical thinking skills and problem solving in applied science using healthcare related scenarios.

BLOCK 2

Employability Skills Appendix A

Employability Skill Standards

Innovation Learning Outcomes

Education Building Blocks

BLOCK 3: ACADEMIC SKILLS

Communication Concepts of Effective Communication

Tactful communication

Written Communication Skills

Attention to detail

Medical Terminology

Interpersonal Conversation, Persuasive Speech, Peer to peer feedback

Other Recommended Coursework Psychology

Sociology

Cultural Diversity/Competency

Spanish

BLOCK 4: TECHNICAL SKILLS– CAREERS

Be prepared for a Healthcare Career. Research levels of education, credentialing requirements, and employment trends in health

professions.

Distinguish differences among careers within health science pathways (diagnostic services, therapeutic services, health informatics, support services, or biotechnology research and development).

Understand and apply teamwork:

Identify roles and responsibilities of individual members as part of the healthcare team.

Participate and work professionally in teams.

Successful healthcare professionals like to help people, to teach, and to talk. They do well at:

Taking initiative • Managing time appropriately

Tolerating stressful situations • Accepting criticism

Problem solving and decision making • Willing to learn and change

Successful healthcare professionals possess characteristics such as:

Patience • Discretion

Enthusiasm • Responsible

Honesty, integrity and dependability • Empathy

Respectful and aware of professional boundaries

Education Building Blocks

BLOCK 4: TECHNICAL SKILLS– CAREERS

Apply safety principles: Identify existing and potential hazards to clients, co-workers, and self.

Employ safe work practices and follow health and safety policies and procedures to prevent injury and illness.

Infection Control

Personal Safety

Environmental Safety

Common Safety Hazards

Emergency Procedures and Protocols

Practice legal and ethical behaviors: Identification of legal responsibilities, implications and practices

Requirements for privacy and confidentiality of Health Information

Understanding the accepted ethical practices with respect to cultural, social, and ethnic differences within the healthcare environment.

Understanding the patient experience, providing service excellence

Wisconsin K12 Health Science Academic & Technical Standards: https://dpi.wi.gov/sites/default/files/imce/cte/pdf/hs_standards.pdf

BLOCK 5: TECHNICAL SKILLS- INDUSTRY

Understand the Healthcare Industry. Awareness of current and future trends in the industry

Distinguish between healthcare delivery systems

Compare healthcare settings

Acute • Ambulatory

Assisted Living • Home Care

Skilled Nursing Care • Adult Day Services

Senior Apartments • Memory Care

Hospice • Emergency

Differentiate between wellness and disease.

Promote disease prevention and model healthy behaviors.

Education Building Blocks

BLOCK 6: TECHNICAL SKILLS– TECHNOLOGY

Know the tools and technologies in the Healthcare Industry. Apply procedures for measuring and recording vital signs including the normal ranges (temperature,

pulse, EKG, respirations, blood pressure, pain).

Obtain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid.

Utilize hands-on and technical tools, such as:

Ambulatory lifts and devices (sit-to-stands, hoyers, antifriction sheets, etc.)

Adaptive equipment, wheelchairs, adjustable beds, walkers, canes, braces

Key Principles of Health Information Systems

Electronic Medication Administration Record software

Epic Systems

MEDITECH software

BLOCK 7: TEACHING NURSING PATHWAY

Elementary

World of work

Word parts (suffixes and prefixes) for Medical Terminology

Parts of the body

Caring for self and others

Nutrition and wellness

Middle School

Medical career options and exploration

Medical words and their meaning

Body systems

Following written and oral instructions when performing tasks

At this level, it is essential to expose students to a variety of healthcare careers through the Academic & Career Planning (ACP) process in the school. Experiences could include:

Career Fairs

Guest Speakers

Company Tours

Health Science concepts are taught at all grade levels by classroom teachers. Elementary and middle school education serve as the foundational background to advanced study in high school health science pathways courses. Connect employer recommendations in this document to Wisconsin’s Health Science Academic and Technical Standards at: https://dpi.wi.gov/sites/default/files/imce/cte/pdf/hs_standards.pdf. Pages 63-88.

Education Building Blocks

BLOCK 7: TEACHING NURSING PATHWAY

High School As students move through the Academic and Career Planning (ACP) process into high school, identify those interested in pursuing a career in healthcare. Counselors and advisors should help these students create an ACP plan that is developed from the published State-Endorsed Regional Career Pathway plan, which includes:

an appropriate sequence of courses,

industry recommended certifications,

related dual credit courses, and

related work-based learning experiences Current Wisconsin Health Science Academic and Technical Standards for high school suggest:

Planning and preparation for healthcare careers in specific pathways

Knowledge and use of medical terminology related to healthcare practices

Structure and function of the human body as it relates to development, disease, and healthy lifestyle

Education and training to prepare for certification Standards specific to this Pathway (HSP5: Therapeutic Services Pathway):

HSP5a. Explain planned procedures and goals to patients and other clients, using various strategies to respond to questions and concerns.

HSP5b. Communicate patient and other client information within a healthcare system team.

HSP5c. Describe facility protocol and regulatory guidelines for collecting patient and other client information.

HSP5d. Implement a collaboratively developed treatment plan according to facility protocol and regulatory guidelines within the healthcare provider’s scope of practice.

HSP5e. Describe the process for monitoring patient and other client health status by assessing and reporting results to a treatment team.

HSP5f. Evaluate patient and other client needs, strengths, and problems in order to determine if treatment goals are being reached.

Suggested courses include:

Introduction to Health Science Careers • Medical Terminology

Anatomy and Physiology • Chemistry

Certified Nursing Assistant

Health Science concepts are taught at all grade levels by classroom teachers. Elementary and middle school education serve as the foundational background to advanced study in high school health science pathways courses. Connect employer recommendations in this document to Wisconsin’s Health Science Academic and Technical Standards at: https://dpi.wi.gov/sites/default/files/imce/cte/pdf/hs_standards.pdf. Pages 63-88.

Education Building Blocks

THE STATE ENDORSED PATHWAY OUTLINE

Published at: https://dpi.wi.gov/pathways-wisconsin/healthcare

Entry Level Home Health Aide Personal Care Aide/Resident Aide Housekeeper Transporter or Orderly

Entry Level Work Rehabilitation Centers Community Based Residential Facilities (CBRF)

Work-Based Learning Employability Skills (90 hrs) State Skill Standards Co-Op (480 hrs/1 year) Youth Apprenticeship (450 hrs/year; 1-2 years) Local Programs May be considered with program review

Certification Certified Nursing Assistant (CNA)

Skill Sets Employability Skills Digital Literacy (MS Office) Academic Technical

College Credit Transcripted Credit Early College Credit Start College Now Dual Enrollment Academy Advanced Placement (AP) International Baccalaureate (IB)

Military Army 68C Practical Nursing Spe-cialist (ASVAB Score: 101 ST and 107 GT) Air Force BMTCP 4N051 (5 Skill Level) (ASVAB Score: General 50)

Registered Apprenticeship

Technical College

University

Semi-Skilled CNA Certificate Certified Nursing Assistant (CNA)

Skilled LPN Technical Diploma (NCLEX Exam)

Licensed Practical Nurse (LPN)

Technical RN (Associate Degree-Nursing) (NCLEX exam) Registered Nurse (ADN)

Professional RN (Bachelor of Science-Nursing) (NCLEX exam) Registered Nurse (BSN)

Graduate Masters+ SEE Published Outline

Education Building Blocks

THE STATE ENDORSED PATHWAY OUTLINE

Specific Industry Related Career Awareness and Exploration Resources

Wisconsin HOSA-Future Health Professionals Inspire Wisconsin: Connection to Wisconsin’s Healthcare employers Wisconsin AHEC

Wisconsin AHEC Community Health Internship Program (CHIP) ExploreHealthCareers.org Health Occupations and Professions Exploration (HOPE)

Consider Career & Technical Education Student Organizations Inspire Profiles & Career Development Activities Specific Workforce Development programs Technical College Boot Camps or Summer Programs Project Based Learning programs Summer Exploration Camps

Student Success Resources

Department of Vocational Rehabilitation Project SEARCH On-the-Job Training Hiring Initiative Foster Care - Independent Living Services DPI Wisconsin Educational Opportunity Programs ACT WorkKeys and KeyTrain - through the Job Centers of Wisconsin

Consider Workforce Development Boards Boys and Girls Clubs College Access Centers Urban League Community Based Organizations

Education Building Blocks

APPENDIX A– EMPLOYABILITY SKILLS

Wisconsin Employability Skill Standards 1. Develops positive relationships with others. 2. Communicates effectively with others. 3. Collaborates with others. 4. Maintains composure under pressure. 5. Demonstrates integrity. 6. Performs quality work. 7. Provides quality goods or service (internal and external). 8. Shows initiative and self-direction. 9. Adapts to change. 10. Demonstrates safety and security regulations and practices. 11.Applies job-related technology, information, and media. 12. Sets personal goals for improvement.

Innovation Learning Outcomes Art of Entrepreneurship– Critical Thinking 1. Information discovery 2. Interpretation and analysis 3. Reasoning 4. Problem Solving/Solution Finding 5. Constructing arguments Art of Entrepreneurship– Communication 1. Engaging in conversations & discussions 2. Using 21st century communication tools 3. Listening 4. Delivering oral presentations Art of Entrepreneurship– Collaboration 1. Leadership & initiative 2. Cooperation 3. Openness 4. Responsibility & productivity 5. Use if Tech Tools for collaboration 6. Responsiveness

Art of Entrepreneurship– Creativity 1. Idea generation 2. Idea design & refinement 3. Openness & courage to explore 4. Work creatively with others 5. Creative production & innovation Attitude of Entrepreneurship 1. Adaptability & openness to change 2. Curiosity & imagination 3. Risk taking & being opportunistic 4. Optimism & persistence; Resilience 5. Focus; Goal-Oriented Science of Entrepreneurship 1. Who is your customer? 2. What can you do for your customer? 3. How can you acquire your customer? Student Entrepreneurial Accelerator Program. The Commons, 2016.

Education Building Blocks

APPENDIX B– DIGITAL LITERACY SKILLS

Wisconsin Standards for Information and Technology Literacy Empowered Learner 1. Students leverage digital tools and strategies to take a active role in choosing and achieving their learning

goals. 2. Students understand the fundamental concepts of technology operations and demonstrate the ability to

choose, use, and troubleshoot current technologies. 3. Students are able to transfer knowledge to explore emerging technologies. Digital Citizen 1. Students recognize the rights, responsibilities, and opportunities of living, learning, and working in an inter-

connected digital world. 2. Students will demonstrate an understanding of and respect for the rights and obligations of using and shar-

ing intellectual property. Knowledge Constructor 1. Students critically curate a variety of digital tools and diverse resources. 2. - Students produce creative artifacts and make meaningful learning experiences from curated knowledge

for themselves and others. Innovative Designer 1. Students use a variety of digital tools and resources to identify and solve authentic problems using design

thinking. 2. Students use a variety of technologies within a design process to create new, useful, and imaginative solu-

tions. Computational Thinker 1. Students develop and employ strategies for understanding and solving problems. Creative Communicator 1. Students communicate clearly and express themselves creatively for a variety of purposes using the

platforms, tools, styles, formats, and digital media appropriate to their goals. 2. Students publish and present content customized for their audience(s), purpose, and task.

Global Collaborator 1. Students use digital tools to broaden their perspectives and enrich their learning with culturally responsive practices by collaborating and working effectively with local and global teams. 2. Students use digital tools to connect with a global network of learners and engage with issues that impact local and global communities. Complete Standards set by grade band. November 2017.

Education Building Blocks

APPENDIX C–

STATE HEALTHCARE PARTNERS

The Wisconsin Department of Public Instruction (DPI) and J.P. Morgan Chase New Skills for Grant project, Pathways Wisconsin, thanks the following partners for contributing to the development of this secondary Career Pathway. Employer Partners.

Richelle Andrae, Program Analyst, Wisconsin Council on Medical Education & Workforce

Eric Borgerding, CEO, Wisconsin Hospital Association

Gina Dennik-Champion, Wisconsin Nursing Association

Keshia Exum-Pryor, St. John’s– Milwaukee

Pat Keller, President, Wisconsin Center for Nursing

Jennifer Kowalski, Wisconsin League for Nursing

Julie LaMountain, Laureate Group

Julie Lederhaus, Wisconsin Public Health Association

Barbara Nichols, Executive Director, Wisconsin Center for Nursing

Eric Osterman, Wisconsin Public Health Association

Mike Pochowksi, CEO, Wisconsin Assisted Living Association

Jo Anne Preston, Rural Wisconsin Health Cooperative

Greg Quinn, Executive Director, Wisconsin Council on Medical Education & Workforce

John Sauer, CEO, LeadingAge Wisconsin

Sandy Stearns, Administrators of Nursing Education of Wisconsin

Lisa Stueland, Laureate Group

Toni Thompson, Vice President, SSM Health

John Vander Meer, Executive Director, Wisconsin Healthcare Association, Wisconsin Center for Assisted Living

Bridget Willey, Director, UW Health

Susan Williams, Wisconsin League for Nursing

Kara Woida, Children’s Hospital of Wisconsin

Linda Young, Administrators of Nursing Education of Wisconsin

Ann Zenk, Vice President– Workforce & Clinical Practice, Wisconsin Hospital Association Educational Partners.

Kathy Loppnow, Health Education Director, Wisconsin Technical College System

Christina Patrin, Health Science Education Consultant, Wisconsin Department of Public Instruction Public Agency Partners.

Rebecca Deschane, Talent Director, Wisconsin Economic Development Corporation

Delores Graves, Executive Director, Center for Healthcare Careers of Southeastern Wisconsin

John Keckhaver, Youth Apprenticeship, Wisconsin Department of Workforce Development

Kevyn Radcliffe, Registered Apprenticeship, Wisconsin Department of Workforce Development